A. In the community, the Personal Support Worker student is caring for Mr. McPhee who is a heavy gentleman with weakness in both legs. He requires assistance to stand and ambulate with a walker. What measures must the Personal Support Worker student take to ensure the safety of Mr. McPhee?

B. Mrs. Graham has been using a cane to assist with walking. She complains to you that she is feeling more unsteady when walking and is afraid of falling. What mobility aid would offer her more support? Why

C.    What would you do as a Personal Support Worker with this new information that you have gathered?

D. If an employer asks a PSW to take blood pressure, would the PSW do it without extra training? Explain why or why not?

Discuss the differences between periods of growth and period of maintenance throughout the lifecycle. Why is it important to understand and respond to the nutrient needs and demands throughout the human life span? Briefly identify how and why chronic disease starts in childhood?

Discuss myositis, the pathophysiology, causes, risk factors, clinical manifestations and the prognosis

1. Using the BROCA formula, calculate the WEIGHT RANGE for the following individuals (1 point each):

Shante (female) is 5’6

Denard (male) is 5’9

Chris (male) is 6’3

Janay (female) is 6’3

2. Using the BMR formula and the Harris Benedict Formula calculate the caloric needs (BMR) for the following individuals (2 points each):

Kiera (female), 5’5, 140 lbs, 23 years old

Richard (male), 6’1, 250 lbs, 45 years old, sedentary

Ashley (female), 5’4, 115 lbs, 20 years old, extra active

All health care providers report diagnoses of diabetes. What best describes this type of surveillance? (choose one)

If you compared the odds of a disease for a cohort of people exposed to some type of environmental agent, relative to a cohort of similar people who were not exposed, what would an odds ratio of 0.2 with a statistically significant p-value (p-value<0.05) represent? (Select the best ONE)

The odds ratio for people with ischemic heart disease not taking calcium supplements compared to people taking calcium supplements is 0.67. What is the odds ratio for ischemic heart disease in people taking calcium supplements compared to people not taking calcium supplements? (choose one)

An observational study is being designed to assess the association of alcohol intake with cardiovascular disease. Which of the following factors is likely to be a confounder? (choose one)

You are caring for a patient with pneumonia. The UAP asks you about the chain of infection and what that means. What would be the reservoir, portal of exit, and mode of transfer in this scenario? What recommendations would you give the UAP to interrupt the transmission of microorganisms during patient care?

1) Describe a Bowel Obstruction.

2) Name 3 potential causes of a Bowel Obstruction?

3) Identify 5 signs and symptoms indicative of a Bowel Obstruction?

4) What are 3 complications of a Bowel Obstruction and/or its signs/symptoms?

5) Name 5 nursing interventions for a bowel obstruction and/or the signs and symptoms associated with a Bowel Obstruction.

6) How is pain treated in a patient with a Bowel Obstruction?

7) What are nursing considerations related to controlling pain in a patient with a Bowel Obstruction?

What are some similarities in challenges that the various countries face with their health systems? What are some differences?

Public health is an essential function of the government on a par with, and for reasons similar to, national defense and law enforcement. Specific public health needs, such as sanitation systems and clean water, cannot be met by individuals acting alone. The government is required to organize community efforts as well as compel cooperation when necessary; otherwise, individuals would be free to benefit from, but not contribute to, the resulting public good.

Considering the above, respond to the following:

• What are the key roles for government in serving the public’s health? Why?

• Give examples and reasons in support of your responses.

• Write your initial response in 300–500 words.

MN, a 57-year-old man, has thrombophlebitis in the right lower leg. IV heparin, 5000 units by bolus, was given. Following the IV bolus, heparin 5000 units given subcutaneously every 6 hours was prescribed. An aPTT was ordered.

Use the drug cards you created and your textbook to respond to the following questions:

• Was MN's heparin within the safe daily dosage range? ( answer please)
• Why was an aPTT ordered( answer please)

• After 5 days, MN was prescribed warfarin 5 mg daily. An INR test was ordered.

• • What is the pharmacologic action of warfarin? ( answer please)
  • What serious adverse reactions could result with prolonged use or large doses of warfarin? ( answer please)
  • What nursing diagnosis would you generate for this client? ( answer please)
  • What patient teaching interventions should the nurse include? ( answer please)

Give three examples of how the Semi-interactive console will be tested ARDMS test

what kind of knolwedge will be needed to answer semi-interactive console questions at ARDMS

After reading scenario answer the questions:

1.identify the history type:comprehensive, problem focused, detailed or comprehensivie?

2. identify the subcategory of the E/M level?(new patient or established patient)

3. what code should be reported?(99202,99221,99204,99201)

4. identify the medical decision making?(straight forward, low complexity, moderate complexity, high complexity)

5. identify the elements of PFSH( past history, family history, social history, all of them)

6. identify the level of PFSH( complete, problem pertinent)

7. what e/m category this would fall under?(inapatient services,, office or other outpatient services)

8. identify the chief complaint(Borderline glucose level, hypertension, CHF, Astha)

9. identify the problem pertinent body system reviewed( endocrine system, cardiovascular system, respiratory system, urinary system)

10. identify the HPI level (brief, extended)

Mr Kim is a 35 year old welder by trade who was found to have borderline glucose levels during a hospital stay 1 month ago.The levels were higher after meals but never exceeded 200mg/dL.The patient thinks he might have experienced some frequent urination, but that could be from increased fluid intake.Since his hospital stay, the patient has been concerned about his blood sugar and has started walking 20 minutes at least 5 days/week, and reducing fis caloric intake.

Mr .Kim reports no recent weight changes or changes in appetite .His vision has returned to normal since his corneal transplant .He has not noticed any recent cuts or bruises that are slow to heal.No extremity tingling or numbness.No oral infections.No skin infections .No bladder infections .Normal bowel movements .No shortness of breath,no chest pains.

Patient reports his knees hurt from time to time from remote history of athletics , but pain is controlled with ibuprofen.No depression,slight anxiety concerning healing eye trauma.No other current endocrine symptoms or disease.Patient is immunosuppressed due to the corneal transplant and reports his medication is preventing rejection.

No other medications.Patient reports paternal grandfather developed type II diabetes over 60.No other diabetic history.Patient is a welder and has recently started an exercise routine.

Exam:

Head:normocephalic,atraumatic

Neck:supple,trachea midline,no lymphadenopsathy

Eyes:grossly normal

ENMT:mucous membranes pink

Cardiovascular:RRR

Respiratory:clear breath sounds bilateral

GI:Positive bowel sounds,no organomegaly

GU:external genitalia normal, no hernias palpated

Extremities:full ROM in all four extremities; positive reflexes and strength x4; no skin changes noted

Neuro:cranial nerves II-XII normal; patient is oriented X3

Data reviewed:

Patient had a fasting blood sugar 3 days ago 90 mg/DL, which is high normal.

Cholesterol also elevated but WNL

Other labs were normal.

Assessment and plan:

Mr.Kim had recent elevated blood sugars, but latest test shows high normal.At this time I would not consider him diabetic or prediabetic, given his absence of symptoms and transient blood sugar levels.Mr.Kim should continue new diet and exercise habits.I gave him a pamphlet today on healthy eating.Mr.Kim should see me every 6 months to monitor his progress and hopefully avoid any disease process.Should his blood sugars start to increase , we will revisit his diagnosis and treatment.I considered multiple treatment options and reviewed a moderate amount of data.At this point ,I think Mr.Kim has a moderate risk of developing type II diabetes at some point in the future,   

Since Pennsylvania has little specific statutory law on AID (artificial insemination by donor}, what protections do you recommend for parents and donors?